Individual
MICHAEL THRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 N WEBSTER ST APT 1, PORTLAND, OR 97217-3763
(650) 438-8996
Mailing address
1410 N WEBSTER ST APT 1, PORTLAND, OR 97217-3763
(650) 438-8996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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